The five recommendations related to the field of anesthesia and intensive care were developed by a working group (WG) composed of anesthesiologists from SIAARTI (Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care) with expertise in sustainability.
The WG, made up of members of the 2022–2024 SIAARTI Communication Committee, the then incoming president, and anesthesiologists with specific expertise in sustainability and green policies, drafted a list of five recommendations focused on the practices with the highest environmental impact in anesthesia. The recommendations, which embrace the “5 Rs” waste strategy (Reduce, Reuse, Recycle, Separate collection, and Recovery), were developed through a thorough review of the international literature on the subject and shared with the 2025–2027 SIAARTI Board of Directors, which reviewed them.